32285 916. bSftdl6t466d LOT 88
�CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Datepr........RqcembPermit
. . ........9--------............. 19_59----
'Application is her made-for -a permit to........P.Qaa _t............................................
a----A!4914k.sfory'. T �A9 -A;OG.T_r ----Building
.K...................................
-nia..........................._............
at............9.1.6...0.ar�A)1_eW-Q-Qd.-Dr.1 Jo CalUor
'V"e
to be occupied only as.......Pirale_--F
..... .. .;e.....................
in accordance with Plans, Specifications and P1'of-plan filed ,herewith.
Estimated Value of Improvements, $....4.q---0...0---0_..
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be com-
plied with.
I cortify.fhat in the performance of the work for which this permit is issued I hall not employ any per-
son in any manner so a, to become subject to the workman, compensation laws of California.
Owner----Yhriftloy..Clans-truction---C.Q.--.Address-----4112_.E1..Camino..Way------------------
I I
By-------------------- -------------------------------------------------------Address.....FaIQ..kit.0-2...Calif--------------------
Contractor, Agent i �I
lorm 1"f16 Candlewood ) 0 6heatley
RECORD OF. INSPEC 10
Foundation.......
............. ......... --------------------- ----
�cco ......--------------------..........